Ana L Pacheco Clark, MD in Santa Rosa, CA

Ana L Pacheco Clark, MD is a medicare enrolled "Family Medicine" physician in Santa Rosa, California. She went to University Of California, San Francisco School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 4700 Hoen Ave, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 526-3360.

Ana L Pacheco Clark is licensed to practice in California (license number G62400) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053352948.

Contact Information

	Ana L Pacheco Clark, MD
	4700 Hoen Ave, Santa Rosa, CA 95405-7824
	(707) 526-3360
	(707) 526-0554

Map and Direction

Physician's Profile

Full Name	Ana L Pacheco Clark
Gender	Female
Speciality	Family Practice
Experience	38 Years
Location	4700 Hoen Ave, Santa Rosa, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ana L Pacheco Clark attended and graduated from University Of California, San Francisco School Of Medicine in 1986

NPI Data:

NPI Number: 1053352948
Provider Enumeration Date: 06/09/2006
Last Update Date: 01/04/2012

Medicare PECOS Information:

PECOS PAC ID: 4789782277
Enrollment ID: I20070606000778

Medical Identifiers

Medical identifiers for Ana L Pacheco Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053352948	NPI	-	NPPES
00G624000	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G62400 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Santa Rosa Regional Hospital	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ana L Pacheco Clark allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ana L Pacheco Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ana L Pacheco Clark, MD 4700 Hoen Ave, Santa Rosa, CA 95405-7824 Ph: (707) 526-3360	Ana L Pacheco Clark, MD 4700 Hoen Ave, Santa Rosa, CA 95405-7824 Ph: (707) 526-3360

Reviews and Comments

Family Medicine Doctors in Santa Rosa, CA

Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Leo Arthur Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405 Phone: 707-303-8360 Fax: 707-303-8361

Ana L Pacheco Clark, MD - Medicare Family Practice in Santa Rosa, CA